• Title/Summary/Keyword: Cognitive Stress

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Psychiatric understanding and treatment of patients with amputations

  • Jo, So-Hye;Kang, Suk-Hun;Seo, Wan-Seok;Koo, Bon-Hoon;Kim, Hye-Geum;Yun, Seok-Ho
    • Journal of Yeungnam Medical Science
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    • v.38 no.3
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    • pp.194-201
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    • 2021
  • Amputation changes the lives of patients and their families. Consequently, the patient must adapt to altered body function and image. During this adaptation process, psychological problems, such as depression, anxiety, and posttraumatic stress disorder, can occur. The psychological difficulties of patients with amputation are often accepted as normal responses that are often poorly recognized by patients, family members, and their primary physicians. Psychological problems can interfere with rehabilitation and cause additional psychosocial problems. Therefore, their early detection and treatment are important. A multidisciplinary team approach, including mental health professionals, is ideal for comprehensive and biopsychosocial management. Mental health professionals could help patients set realistic goals and use adaptive coping styles. Psychiatric approaches should consider the physical, cognitive, psychological, social, and spiritual functions and social support systems before and after amputation. The abilities and limitations of physical, cognitive, psychological, and social functions should also be considered. To improve the patient's adaptation, psychological interventions such as short-term psychotherapy, cognitive behavioral therapy, mindfulness meditation, biofeedback, and group psychotherapy can be helpful.

The Effect of Psychological Control Felt by Overseas Medical Tourists on Service Satisfaction and Word of Mouth Communication (해외 의료관광객이 느끼는 통제력이 서비스 만족 및 구전의도에 미치는 영향)

  • Chengcheng Ma;Jungki Lee
    • Asia-Pacific Journal of Business
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    • v.14 no.3
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    • pp.25-44
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    • 2023
  • Receiving medical services abroad is an event that involves a high level of risk and stress for most people. This study proposes and empirically examines perceived control as a factor that has a potential to reduce the stress associated with overseas medical experience and enhance satisfaction with it. Based on the research findings in environmental psychology, one's perceived control was divided into cognitive control, behavior control, and decision control. A research model and a set of hypotheses were constructed to investigate the effect of each control on satisfaction and word-of-mouth communications among consumers who had overseas medical service experiences. The data collection was conducted through an online survey of 220 Chinese consumers who had visited Korea as plastic medicine tourists. Satisfaction with their service experience was significantly affected by both behavioral control and decisional control, but not by cognitive control. Thus, Chinese medical tourists prefer to maintain the belief that they are in charge of major decisions associated with the medical procedure, and that the results of the medical procedure will have personally desirable consequences. In addition, satisfaction experienced by Chinese consumers with overseas medical services had a significant impact on their word-of-mouth activities. Based on the research results, a set of academic and practical implications were derived.

Effects of the integrated cognitive function improvement program on cognitive function and oral and mental health of middle-aged people: an application of non-face-to-face arbitration (통합 인지기능 향상 프로그램이 중년층의 인지기능, 구강건강, 정신건강에 미치는 영향: 비대면 방식의 중재 적용)

  • Eun-Seo Jung;Kyeong-Hee Lee;Su-Yeon Seo
    • Journal of Korean society of Dental Hygiene
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    • v.23 no.1
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    • pp.43-53
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    • 2023
  • Objectives: We developed an integrated cognitive function improvement program comprising cognitive, emotional, and physical domains, and remotely applied it to middle-aged adults to investigate its effects on oral health, cognitive function, and mental health improvement. Methods: The experimental group underwent the program remotely, using the Zoom platform. A total of 24 participants were recruited and divided into 12 experimental and 12 control groups. The program comprised cognitive, emotional, and physical activities. The sessions lasted 90 min and were performed twice a week for 6 weeks from April to May 2022. Results: Cognitive function, arousal, physical, and mental stress were significantly improved in the experimental group after the intervention than at the baseline (p<0.05). Regarding oral health, tongue plaque decreased 1.34-fold (p<0.01) and saliva increased 1.04-fold (p<0.05) in the experimental group after the intervention than at the baseline. Moreover, the experimental group showed significant improvements in tongue plaque and saliva than the control group (p<0.05 for tongue plaque and p<0.01 for saliva). Regarding mental health, social support significantly increased 11.67-fold (p<0.05) in the experimental group than at the baseline. The experimental group also showed significantly improved social support than the control group (p<0.01). Conclusions: The non-face-to-face integrated cognitive function improvement program for middle-aged adults improved their cognitive function and oral and mental health. Based on these findings, this program may be a useful health program tool for middle-aged individuals.

The Structure and Pathway in which Perceived Social Support, Coping Strategy and Acculturative Attitude of Marriage-based Immigrant Women influences Acculturative Stress (결혼이주여성의 지각된 사회적지지, 대처전략, 문화적응태도가 문화적응스트레스에 영향을 미치는 구조와 경로)

  • Han, Suk-Woo;Kim, Ji-Woon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.10
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    • pp.55-63
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    • 2018
  • This study was intended to identify path structures through pathway analysis with an emphasis on the cognitive elements that influence the acculturative stress of marriage-based immigrant women. The results of the study were designed to establish a foundation for practical measures and policies to support marriage-based immigrant women to adjust their lives in the culture. This study has established research model on the path structure according to the psychological stress theory as to how social support, coping strategy, and acculturative attitude recognized as a cognitive element of marriage-based immigrant women on the acculturative stress and implement practical verification. In addition, control variables for the use of ages, education level, period of marriage, and income level of socio-demographic variables were analyzed. To obtain data for the study, convenience sampling and snowball sampling of marriage-based immigrant women that resided in the area of C and J were conducted simultaneously through surveys and applied to the analysis of 204 cases. Analysis of the path structure of influence of social support, coping strategies, and acculturative attitudes that were perceived as a cognitive element of marriage-based immigrant women influencing acculturative stress revealed that these factors were specifically weighted towards acculturative. Moreover, comprehensive acculturative attitude was identified as a crucial variable reducing the effects of acculturative stress during the acculturative procedures of marriage-based immigrant women. This assumes that establishing and performing policies supporting co-existence of homeland cultures of marriage-based immigrant women and Korean cultures might be an efficient action for dealing with acculturative stress rather than forcing them to adjust to Korean culture.

The effects of stress perception due to COVID-19 and category coherence on category-based inductive generalization (코로나-19로 인한 스트레스 지각과 범주 응집성이 범주기반 귀납적 일반화에 미치는 효과)

  • Lee, Guk-Hee;Doh, Eun Yeong
    • Korean Journal of Cognitive Science
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    • v.33 no.3
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    • pp.135-154
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    • 2022
  • The purpose of this study was to confirm that the property generalization to social categories with low coherence is stronger when stress due to COVID-19 is perceived as high, compared to when stress is perceived as low. To this end, this study selected categories with high coherence(nun, soldier, flight attendant) and categories with low coherence(wedding planner, interpreter, florist), and recruited 336 participants to perform a category-based inductive generalization task(inferring how many properties repeatedly observed by some category members would appear across all category members), and measured their perceived COVID-19 stress. As a result, this study showed that when the cohesion of social categories is high, the effect of property generalization is stronger than when it is low, and the effect of property generalization is stronger in those who perceive stress due to Corona 19 higher than those who perceive it as low. In addition, this study confirmed that people who perceive COVID-19 stress strongly tend to generalize strongly to properties that are repeatedly observed in the low coherence category. This study is important in that it shows that there is a cognitive mechanism that is at the root of the phenomenon that stereotypes and prejudices deepen and discriminatory behaviors increase after the outbreak of COVID-19, such as COVID-19 stress and the resulting increase in attribute generalization tendency.

Effect of Ginsenoside Re on Depression- and Anxiety-Like Behaviors and Cognition Memory Deficit Induced by Repeated Immobilization in Rats

  • Lee, Bom-Bi;Shim, In-Sop;Lee, Hye-Jung;Hahm, Dae-Hyun
    • Journal of Microbiology and Biotechnology
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    • v.22 no.5
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    • pp.708-720
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    • 2012
  • In this study, we assessed the effects of ginsenoside Re (GRe) administration on repeated immobilization stress-induced behavioral alterations using the forced swimming test (FST), the elevated plus maze (EPM), and the active avoidance conditioning test (AAT). Additionally, we examined the effect of GRe on the central adrenergic system by observing changes in neuronal tyrosine hydroxylase (TH) immunoreactivity and brain-derived neurotrophic factor (BDNF) mRNA expression in the rat brain. Male rats received 10, 20, or 50 mg/kg GRe (i.p.) 30 min before daily exposures to repeated immobilization stress (2 h/day) for 10 days. Activation of the hypothalamic-pituitary-adrenal (HPA) axis in response to repeated immobilization was confirmed by measuring serum levels of corticosterone (CORT) and the expression of corticotrophin-releasing factor (CRF) in the hypothalamus. Repeated immobilization stress increased immobility in the FST and reduced open-arm exploration in the EPM test. It also increased the probability of escape failures in the AAT test, indicating a reduced avoidance response. Daily administration of GRe during the repeated immobilization stress period significantly inhibited the stress-induced behavioral deficits in these behavioral tests. Administration of GRe also significantly blocked the increase in TH expression in the locus coeruleus (LC) and the decrease in BDNF mRNA expression in the hippocampus. Taken together, these findings indicate that administration of GRe prior to immobilization stress significantly improved helpless behaviors and cognitive impairment, possibly through modulating the central noradrenergic system in rats. These findings suggest that GRe may be a useful agent for treating complex symptoms of depression, anxiety, and cognitive impairment.

Effect of Cognitive behavior therapy program in child with Posttraumatic Stress Disorde (인지행동치료 프로그램이 외상 후 스트레스장애(PTSD) 아동에 미치는 효과 - 학교폭력 피해아동을 중심으로 -)

  • Lee Jin-Suk;Han Young-Suk
    • Korean Journal of Human Ecology
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    • v.9 no.2
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    • pp.21-31
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    • 2006
  • The purpose of this study is to investigate the differences in irrational faith and the school adaptation of elementary school students by experimental group and control group. To achieve these goals, the followings are setting the programs. The subjects are selected from grade 4, 5, 6 students from the elementary schools. The tools used for this study were Irrational faith Test and School adaptation Test. The followings are the results of the analysis of the collected data. First, in the analysis of irrational faith, there is no significant difference between experimental group and control group. Second, in the analysis of school adaptation, there is significant difference between experimental group and control group(t=.05, p<.05).

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A Neurobiological Concept of Schizophrenia - Approach to Vulnerability -

  • Sato, Mitsumoto
    • Korean Journal of Biological Psychiatry
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    • v.3 no.1
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    • pp.37-45
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    • 1996
  • Recent studies on long-term outcome of schizophrenia revealed that schizophrenic symptoms recover in more than 50%, while it remains severe in less than 20% after 20 years or more from the onset. Psychopharmacological studies indicate that 75% of remitted schizophrenics may recur within 2 years after discontinuation of maintenance pharmacotherapy. In addition, family studies revealed that schizophrenic decompensation may occur significantly more frequent in discharged patients with high expressed emotion family than in low expressed emotion family. These findings strongly support a clinical validity of stress-vulnerability concept of schizophrenia which open a new viewpoint to two central problems in schizophrenia treatment, i.e. psychotic relapses and chronification of the fist episode schizophrenia. Moreover, recent psychopathological studies argue that schizophrenic symptoms are manifestations of psychological reaction secondary to a primary cognitive impairment(neurobiological vulnerability), which is originated in neurobiological changes in the brain. Recent approaches to the vulnerability to schizophrenic symptoms or schizophrenic decompensation are reviewed.

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Relationships among Maternal Parenting Behavior, Parenting Stress and Performance on the K-BSID-II : The Moderating Effect of Parenting Stress (모의 양육행동 및 양육 스트레스와 K-BSID-II 수행간의 관계 : 양육 스트레스의 중재효과 탐색)

  • Kim, Malkyong;Park, Hyewon
    • Korean Journal of Child Studies
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    • v.29 no.1
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    • pp.243-255
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    • 2008
  • This study analyzed relations among maternal parenting behavior, infant development and parenting stress focusing on the moderating effect of parenting stress. Subjects were 30 infants and their mothers. After videotaping the mother-infant free play session, maternal parenting was analyzed by the Parent Child Interaction Play Assessment(Mash & Terdal, 1981); mothers' parenting stress was measured by questionnaire. Infant development was measured individually by the Korean Bayley Scale of Infant Development (K-BSID-II). Correlation analyses revealed that infant cognitive development correlated significantly with maternal parenting behavior (attention) but the relation between them was moderated by maternal parenting stress; only the low parenting stress group showed a positive relationship between maternal parenting behavior and infant development.

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The Influence of Cognitive Coping on Hope, Depression and Satisfaction with Life in Hemodialysis Patients (혈액투석환자의 인지적 대처전략에 따른 희망, 우울 및 삶의 만족에 미치는 영향 정도)

  • Cha, Jieun;Yi, Myungsun
    • Korean Journal of Adult Nursing
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    • v.25 no.4
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    • pp.389-399
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    • 2013
  • Purpose: The purpose of the study was to examine the relationships between cognitive coping, hope, depression, and life satisfaction of hemodialysis patients based on the stress-coping model. Methods: For this cross-sectional survey, 142 participants were recruited from 10 local clinics in Seoul and Daegu during 2012-2013. The data collection instruments included the Cognitive Emotion Regulation Questionnaire, the Herth Hope Index, the Hospital Anxiety and Depression Scale, and the Satisfaction with Life Scale. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation analysis, and stepwise multiple regression. Results: The cognitive coping scores were significantly related to hope, depression, and life satisfaction. The coping strategies explained 80%, 37%, and 38% of the variances in hope, depression, and life satisfaction, respectively. The most powerful coping strategy was positive refocusing, explaining 73% in hope, 25% in depression, and 25% in life satisfaction. Conclusion: The results of the study indicate that cognitive coping plays an essential role for psychological adaptation of hemodialysis patients. Thus, interventions integrating positive refocusing would help instilling hope of hemodialysis patients in Korea.